SWAYAMPRABHA S TYAGI

VIDALIA, GA
NPI1720134166
Former NameSWAYAMPRABHA SUBRAMANIAM IYER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: GA  32318)
Additional Taxonomies208000000X Pediatrics
(Licence: AZ  47063)
Enumeration Date2007-01-26
Last Update Date2016-11-15
Business Address
-- SWAYAMPRABHA S TYAGI MD
414 LUGENIA DR
VIDALIA, GA 30474-7210
Phone number: 912-537-9355
Mailing Address
-- SWAYAMPRABHA S TYAGI MD
414 LUGENIA DR
VIDALIA, GA 30474-7210
Phone number: 912-537-9355